Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750631610 Individual Practitioner Female Practitioner

Amanda Polson , CCC-SLP

Speech-Language Pathologist • St Petersburg, FL

Professional Overview & Biography Verified Profile Summary

Amanda Polson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in St Petersburg, FL. Practice services are available at 6360 6TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6360 6th Ave N

St Petersburg, FL 337106906

Telephone 7274152962

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in St Petersburg, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
190 Specialists

Practicing in St Petersburg, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA12622

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SZ5969

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
006609700 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 27, 2018

Registered at 6360 6TH AVE N, ST PETERSBURG, FL 337106906 (Tel: 7274152962)

📍
Updated Business Mailing Address March 27, 2018

Registered at 6360 6TH AVE N, ST PETERSBURG, FL 337106906 (Tel: 7274152962)

👤
Provider Name / Credentials Updated March 27, 2018

Recorded as AMANDA POLSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2018

Speech-Language Pathologist (License #SZ5969 in FL)

NPI Profile Active November 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2013

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

📍
Updated Business Mailing Address November 06, 2013

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

👤
Provider Name / Credentials Updated November 06, 2013

Recorded as AMANDA POLSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2013

Speech-Language Pathologist (License #SA12622 in FL)

🟢
Initial NPI Registration & Enumeration September 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750631610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2012
Last Update: March 27, 2018
Sole Proprietor: No

Mailing Address

6360 6th Ave N

St Petersburg, FL 337106906

Phone: 7274152962

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.